Individual provider Active NPI

Brad Alan Bourne, D.C.

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1952520199
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6042 Issued in CO
Practice address
8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128-9114
Phone
(303) 346-8362
Fax
(303) 932-1019
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6042 CO Primary

Addresses

Primary practice location

8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128-9114

Mailing address

8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128-9114
Phone (303) 346-8362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000147 CO Practitioner - Chiropractic 0749381630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128-9114
Phone (303) 346-8362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6042COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Bourne PC Chiropractor CurrentSince Jun 18, 2007 Accepting new patients

Locations

8176 S Wadsworth Blvd
Unit D
Littleton, CO 80128

8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128
Phone (303) 346-8362

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1952520199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8156 S WADSWORTH BLVD",
            "address_2": "UNIT G",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289114",
            "telephone_number": "303-346-8362",
            "fax_number": "303-932-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8156 S WADSWORTH BLVD",
            "address_2": "UNIT G",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289114",
            "telephone_number": "303-346-8362",
            "fax_number": "303-932-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "BRAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.